Changes

While administering the various procedures described in the preceding verse to remove the placenta from the mother’s body, certain measures should also be performed on the newly born child, such as gently striking the stones near the root of the ear, and sprinkling of cold or hot water over its face, to rejuvenate its vital breath that might have stopped due to distress. If the child is not movingor does not revive, it should then be fanned with a winnowing basket made of bamboo etc. till it regains consciousness (the procedures to be continued till consciousness is established). Once respiration is established and gets normalized, then he should be given a good bath and cleansed thoroughly. [42]

While administering the various procedures described in the preceding verse to remove the placenta from the mother’s body, certain measures should also be performed on the newly born child, such as gently striking the stones near the root of the ear, and sprinkling of cold or hot water over its face, to rejuvenate its vital breath that might have stopped due to distress. If the child is not movingor does not revive, it should then be fanned with a winnowing basket made of bamboo etc. till it regains consciousness (the procedures to be continued till consciousness is established). Once respiration is established and gets normalized, then he should be given a good bath and cleansed thoroughly. [42]

==== Procedure  

==== Procedure for cleaning the baby after birth ====

अथास्य ताल्वोष्ठकण्ठजिह्वाप्रमार्जनमारभेताङ्गुल्या सुपरिलिखितनखया सुप्रक्षालितोपधानकार्पाससपिचुमत्या|  

अथास्य ताल्वोष्ठकण्ठजिह्वाप्रमार्जनमारभेताङ्गुल्या सुपरिलिखितनखया सुप्रक्षालितोपधानकार्पाससपिचुमत्या|  

Thereafter, the palate, lips, throat and tongue of the child should be cleaned with a clean cotton swab using a finger of the attendant, whose nails have been well manicured.  After cleaning the mouth, a cotton swab well soaked in oil should be placed over the ''shirastalu'' (anterior fontanel) and then a procedure to provoke vomiting should be administered using ghee with ''saindhava'' (rock salt). [43]

Thereafter, the palate, lips, throat and tongue of the child should be cleaned with a clean cotton swab using a finger of the attendant, whose nails have been well manicured.  After cleaning the mouth, a cotton swab well soaked in oil should be placed over the ''shirastalu'' (anterior fontanel) and then a procedure to provoke vomiting should be administered using ghee with ''saindhava'' (rock salt). [43]

ततः कल्पनं नाड्याः|  

ततः कल्पनं नाड्याः|  

iti nADIkalpanavidhiruktaH samyak||44||  

iti nADIkalpanavidhiruktaH samyak||44||  

Thereafter, the umbilical cord is measured. The cord should be marked at a distance of eight angula (thumb-length) from its base where it is attached at the navel of the child, and then holding the cord gently and firmly on both the ends, it should be cut with a sharp half-edged instrument made of gold, silver or iron (steel). The portion of the cord at the navel side should be tied with a thread and then loosely tied to the neck of the child. If the umbilicus end gets suppurated, then it should be anointed with oil prepared with paste of lodhra (Symplocos racemosa Roxb.), madhuka (Glycyrrhiza glabra Linn.), priyangu (Callicarpa macrophylla Vahl.), devadaru (Cedrus deodara Loud.) and haridra (Curcuma longa Linn.), and the powder of the same drugs should be sprinkled over the cut surface.  

Thereafter, the umbilical cord is measured. The cord should be marked at a distance of eight angula (thumb-length) from its base where it is attached at the navel of the child, and then holding the cord gently and firmly on both the ends, it should be cut with a sharp half-edged instrument made of gold, silver or iron (steel). The portion of the cord at the navel side should be tied with a thread and then loosely tied to the neck of the child. If the umbilicus end gets suppurated, then it should be anointed with oil prepared with paste of ''lodhra'' (Symplocos racemosa Roxb.), ''madhuka'' (Glycyrrhiza glabra Linn.), ''priyangu'' (Callicarpa macrophylla Vahl.), ''devadaru'' (Cedrus deodara Loud.) and ''haridra'' (Curcuma longa Linn.), and the powder of the same drugs should be sprinkled over the cut surface.  

This concludes the verse on the “measurement of the cord”. [44]

This concludes the verse on the “measurement of the cord”. [44]

असम्यक्कल्पने हि नाड्या आयामव्यायामोत्तुण्डिता-पिण्डलिका-विनामिका-विजृम्भिकाबाधेभ्यो भयम्|  

असम्यक्कल्पने हि नाड्या आयामव्यायामोत्तुण्डिता-पिण्डलिका-विनामिका-विजृम्भिकाबाधेभ्यो भयम्|  

tatrAvidAhibhirvAtapittaprashamanairabhya~ggotsAdanapariShekaiH sarpirbhishcopakrametagurulAghavamabhisamIkShya||45||  

tatrAvidAhibhirvAtapittaprashamanairabhya~ggotsAdanapariShekaiH sarpirbhishcopakrametagurulAghavamabhisamIkShya||45||  

Improper cutting of the umbilical cord and administering of measures explained in the preceding verse could lead to complications suchas ayamottundita (vertical swelling), vyayamottundita (horizontal swelling), pindalika (lumpy swellings or formation of a circular ring around the umblicus), vinamika (swelling in the margins with depression at centre), and vijrumbhika (swelling with constant increase in size as in umblical hernia). In case of these complications, by carefully observing the severity of the condition (mild to severe involvement of the doshas), it should be treated using massages, unction, and sprinkling of ghee prepared with drugs that are non-irritants and vata and pitta pacifying. [45]

Improper cutting of the umbilical cord and administering of measures explained in the preceding verse could lead to complications such as ayamottundita (vertical swelling), vyayamottundita (horizontal swelling), pindalika (lumpy swellings or formation of a circular ring around the umblicus), vinamika (swelling in the margins with depression at centre), and vijrumbhika (swelling with constant increase in size as in umblical hernia). In case of these complications, by carefully observing the severity of the condition (mild to severe involvement of the doshas), it should be treated using massages, unction, and sprinkling of ghee prepared with drugs that are non-irritants and vata and pitta pacifying. [45]

अतोऽनन्तरं जातकर्म कुमारस्य कार्यम्|  

अतोऽनन्तरं जातकर्म कुमारस्य कार्यम्|